Modified double-disc test for detection of extended-spectrum β-lactamases in Escherichia coli and Klebsiella pneumoniae

被引:7
作者
Kader, A. A. [1 ]
Angamuthu, K. K. [1 ]
Kamath, K. A. [1 ]
Zaman, M. N. [1 ]
机构
[1] Almana Gen Hosp, Dept Clin Microbiol, Al Khobar 31952, Saudi Arabia
关键词
Escherichia coli; beta-lactamases; extended spectrum; Klebsiella pneumoniae;
D O I
10.1080/09674845.2006.11732719
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
This study evaluates the performance of a modified double-disc test (MDDT) for the detection of extended-spectrum beta-lactamases (ESBLs) in clinical isolates of Escherichia coli and Klebsiella pneumoniae. Ninety-six isolates of E. coli and 40 K. pneumoniae are studied for ESBL production by the National Committee for Clinical Laboratory Standards (NCCLS) combination disc tests and MDDT A total of 112 (82%) isolates (80 [83%] E. coli, 32 [80%] K. pneumoniae) were positive for ESBL by MDDT compared to 102 (75%; 72 [75%] E. coli and 30 [75%] K. pneumoniae) by the NCCLS method. In 10 (7.4%) isolates, ESBLs were detected only by MDDT Twenty-four (17.6%) isolates were negative for ESBL by both methods. The protocol described in this study provides a more sensitive approach than does the NCCLS method for ESBL detection in E. coli and K. pneumoniae.
引用
收藏
页码:51 / 54
页数:4
相关论文
共 21 条
[1]  
[Anonymous], 2000, M2A7 NCCLS
[2]   Extended-spectrum β-lactamases in the 21st century:: Characterization, epidemiology, and detection of this important resistance threat [J].
Bradford, PA .
CLINICAL MICROBIOLOGY REVIEWS, 2001, 14 (04) :933-951
[3]   Epidemiology of extended-spectrum β-lactamase-producing Enterobacter isolates in a Spanish hospital during a 12-year period [J].
Cantón, R ;
Oliver, A ;
Coque, TM ;
Varela, MD ;
Pérez-Díaz, JC ;
Baquero, F .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (04) :1237-1243
[4]   Extended-spectrum β-lactamases in Enterobacter cloacae:: underestimated but clinically significant! [J].
Crowley, B ;
Ratcliffe, G .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2003, 51 (05) :1316-1317
[5]  
JARLIER V, 1988, REV INFECT DIS, V10, P867
[6]   BETA-LACTAMASES IN LABORATORY AND CLINICAL RESISTANCE [J].
LIVERMORE, DM .
CLINICAL MICROBIOLOGY REVIEWS, 1995, 8 (04) :557-&
[7]   Occurrence and detection of AmpC β-lactamases among Gram-negative clinical isolates using a modified three-dimensional test at Guru Tegh Bahadur Hospital, Delhi, India [J].
Manchanda, V ;
Singh, NP .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2003, 51 (02) :415-418
[8]   Occurrence of newer β-lactamases in Klebsiella pneumoniae isolates from 24 US hospitals [J].
Moland, ES ;
Black, JA ;
Ourada, J ;
Reisbig, MD ;
Hanson, ND ;
Thomson, KS .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (12) :3837-3842
[9]  
*NAT COMM CLIN LAB, 2004, M100S14
[10]   Modification of the double-disk test for detection of Enterobactetiaceae producing extended-spectrum and AmpC β-lactamases [J].
Pitout, JDD ;
Reisbig, MD ;
Venter, EC ;
Church, DL ;
Hanson, ND .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (08) :3933-3935